ATI RN
ATI Custom T1 PM Summer 2023 Exam 5 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a moderate vision impairment. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Face the client when speaking to them. This is important because by facing the client, the nurse allows the client to see their facial expressions and lip movements, which can aid in understanding the conversation. This non-verbal cue can help bridge the communication gap caused by the vision impairment. Opening shades (choice
A) may create glare or shadows that could further hinder the client's vision. Using gestures (choice
C) may not be effective if the client cannot see them clearly. Speaking loudly (choice
D) is not necessary and may come off as intimidating or patronizing.
Question 2 of 5
A nurse is collecting data from an infant who has otitis media. The nurse should expect which of the following findings?
Correct Answer: B
Rationale: The correct answer is B: Tugging on the affected ear lobe. In otitis media, infants may tug or rub the affected ear due to pain or discomfort. This behavior is a common sign of ear discomfort in infants. Erythema and edema of the affected auricle (choice
A) may be seen in external ear infections, not otitis media. Bluish-green discharge from the ear canal (choice
C) is not a typical finding in otitis media. An increase in appetite (choice
D) is not a common symptom of otitis media. Thus, choice B is the most appropriate finding in an infant with otitis media.
Question 3 of 5
A nurse is caring for a client who has a cloudy, opaque area over the lens of one eye. The nurse should identify that this is a manifestation of which of the following visual impairments?
Correct Answer: B
Rationale: The correct answer is B: Cataracts. Cataracts are characterized by a cloudy, opaque area over the lens of the eye, leading to blurred vision and decreased visual acuity. Glaucoma involves increased pressure in the eye damaging the optic nerve, not opacity of the lens (
A). Macular degeneration affects the macula in the retina causing central vision loss, not lens opacity (
C). Diabetic retinopathy involves damage to blood vessels in the retina, not lens opacity (
D). Thus, the cloudy, opaque area over the lens aligns with cataracts, making it the correct choice.
Question 4 of 5
A nurse in a pediatric clinic is collecting data from a preschool-age child who has suspected impetigo contagiosa. Which of the following manifestations should the nurse expect to find with this skin infection?
Correct Answer: D
Rationale: The correct answer is D: Red macule with honey-colored crusts. Impetigo contagiosa is a bacterial skin infection commonly seen in children. The characteristic presentation includes red macules (flat, red spots) that progress to form honey-colored crusts. This is due to the bacterial infection causing the skin to exude a yellowish, honey-like substance as the lesions dry up. It is important to recognize this classic presentation to provide appropriate treatment, such as topical or oral antibiotics.
Other choices are incorrect because:
A: Firm brown papules with a roughened, finely papillomatous texture - This description is more suggestive of a viral wart.
B: Scaly patches that have clear centers - This description is more indicative of tinea corporis (ringworm) infection.
C: Reddened areas with white exudate - This description is more characteristic of a skin abscess or cellulitis.
In summary, recognizing the specific characteristics of impetigo contagiosa, such
Question 5 of 5
A nurse is discussing potential barriers to effective communication with a newly licensed nurse. Which of the following barriers should the nurse include?
Correct Answer: A,C,D
Rationale: The correct answer is A, C, and D. Noise from nearby monitoring equipment can hinder effective communication by making it difficult to hear and understand. Cultural differences may lead to misunderstandings, affecting communication. Using medical terminology with clients who may not understand can create barriers. Adequate lighting (
B) and facing the client (E) are important for communication but are not listed as potential barriers in this scenario.